Whalio Doctors

NPI 1265456594

Mark James Bigelow, LMT

Practitioner Specialist Ormond Beach, FL

Practice location

Address
763 Riverside Dr, Ormond Beach, FL 32176-7878
Phone
(386) 233-9108

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence MA6332 (FL)

Registry record

NPI
1265456594
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 Jul 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.